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Name Record Identifier Blank Allocated Tips Uncollected Employee Tax on Tips Medical Savings Account Simple Retirement Account Position 1-2 3-11 12-22 23-33 34-44 45-55 Length 2 9 11 11 11 11 Field Name Qualified Adoption Expenses Uncollected Social Security or RRTA Tax on Cost of Group Term Life Insurance Over $50,000 Uncollected Medicare Tax on Cost of Group Term Life Insurance Over $50,000 Income Under a Nonqualified Deferred Compensation Plan that Fails

to Satisfy

Section 409A Blank

Designated Roth Contributions Under a Governmental Section 457(b) Plan Position 56-66 67-77 78-88 89-99 100-110 111-121 Length 11 11 11 11 11 11 Field Name Blank Wages Subject to Puerto Rico Tax Commissions Subject To Puerto Rico Tax Allowances Subject to Puerto Rico Tax Tips Subject to Puerto Rico Tax Total Wages, Commissions, Tips and Allowances Subject to Puerto Rico Tax Position 122-274 275-285 286-296 297-307 308-318 319-329 Length 153 11 11 11 11 11 Field Name Puerto Rico Tax Withheld Retirement Fund Annual Contributions Blank Total Wages, Tips and Other Compensation Subject to Virgin Islands, Guam, American Samoa or Northern Mariana Islands Income Tax Virgin Islands, Guam, American Samoa or Northern Mariana Islands Income Tax Withheld Blank Position 330-340 341-351 352-362 363-373 374-384 385-512 Length 11 11 11 11 11 128

RO POSITION

FIELD NAME LENGTH FIELD SPECIFICATIONS

1-2 Record Identifier 2 Constant "RO" (alphabetic O).

3-11 Blank 9 Fill with blanks. Reserved for SSA use. 12-22 Allocated Tips 11 No negative amounts.

Right justify and zero fill.

This field is valid from 1983 through the current tax year. Does not apply to Puerto Rico, Virgin Islands,

American Samoa, Guam or Northern Mariana Islands employees.

23-33 Uncollected Employee Tax on Tips

11 Combine the uncollected Social Security tax and the uncollected Medicare tax in this field.

No negative amounts. Right justify and zero fill.

This field is valid from 1978 through the current tax year. 34-44 Medical Savings

Account

11 No negative amounts. Right justify and zero fill.

This field is valid from 1997 through the current tax year. Does not apply to Puerto Rico or Northern Mariana Islands employees.

45-55 Simple Retirement Account

11 No negative amounts. Right justify and zero fill.

This field is valid from 1997 through the current tax year. Does not apply to Puerto Rico employees.

56-66 Qualified Adoption Expenses

11 No negative amounts. Right justify and zero fill.

This field is valid from 1997 through the current tax year. Does not apply to Puerto Rico or Northern Mariana Islands employees.

67-77 Uncollected Social Security or RRTA Tax on Cost of Group Term Life Insurance Over $50,000

11 No negative amounts. Right justify and zero fill.

This field is valid from 2001 through the current tax year. Does not apply to Puerto Rico employees.

RO POSITION

FIELD NAME LENGTH FIELD SPECIFICATIONS

78-88 Uncollected Medicare Tax on Cost of Group Term Life Insurance Over $50,000

11 No negative amounts. Right justify and zero fill.

This field is valid from 2001 through the current tax year. Does not apply to Puerto Rico employees.

89-99 Income Under a Nonqualified Deferred

Compensation Plan that Fails to Satisfy Section 409A

11 No negative amounts. Right justify and zero fill.

This field is valid from 2005 through the current tax year. Does not apply to Puerto Rico or Northern Mariana Islands employees.

100-110 Blank 11 Fill with blanks. Reserved for SSA use. 111-121 Designated Roth

Contributions Under a Governmental Section 457(b) Plan

11 No negative amounts. Right justify and zero fill.

This field is valid from 2011 through the current tax year. Does not apply to Puerto Rico or Northern Mariana Islands employees.

122-274 Blank 153 Fill with blanks. Reserved for SSA use. 275-285 Wages Subject to

Puerto Rico Tax

11 No negative amounts. Right justify and zero fill.

This field is valid from 1978 through the current tax year. For Puerto Rico employees only.

286-296 Commissions Subject to Puerto Rico Tax

11 No negative amounts. Right justify and zero fill.

This field is valid from 1978 through the current tax year. For Puerto Rico employees only.

297-307 Allowances Subject to Puerto Rico Tax

11 No negative amounts. Right justify and zero fill.

This field is valid from 1998 through the current tax year. For Puerto Rico employees only.

RO POSITION

FIELD NAME LENGTH FIELD SPECIFICATIONS

308-318 Tips Subject to Puerto Rico Tax

11 No negative amounts. Right justify and zero fill.

This field is valid from 1998 through the current tax year. For Puerto Rico employees only.

319-329 Total Wages, Commissions, Tips and Allowances Subject to Puerto Rico Tax 11 No negative amounts. Right justify and zero fill.

This field is valid from 1978 through the current tax year. For Puerto Rico employees only.

330-340 Puerto Rico Tax Withheld

11 No negative amounts.

Right justify and zero fill.

This field is valid from 1978 through the current tax year. For Puerto Rico employees only.

341-351 Retirement Fund Annual Contributions

11 No negative amounts.

Right justify and zero fill.

This field is valid from 1978 through the current tax year. For Puerto Rico employees only.

352-362 Blank 11 Fill with blanks. Reserved for SSA use. 363-373 Total Wages,

Tips and Other Compensation Subject to Virgin Islands, Guam, American Samoa or Northern Mariana Islands Income Tax

11 No negative amounts. Right justify and zero fill.

This field is valid from 1978 through the current tax year. For Virgin Islands, American Samoa, Guam or Northern Mariana Islands employees only. 374-384 Virgin Islands, Guam,

American Samoa or Northern Mariana

Islands Income Tax Withheld

11 No negative amounts. Right justify and zero fill.

This field is valid from 1978 through the current tax year.

For Virgin Islands, American Samoa, Guam or Northern Mariana Islands employees only. 385-512 Blank 128 Fill with blanks. Reserved for SSA use.

4.9 RS Record – State Wage Record

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